Application of the Team Emergency Assessment Measure for Prehospital Cardiopulmonary Resuscitation

Introduction: Communication and teamwork are critical for ensuring patient safety, particularly during prehospital cardiopulmonary resuscitation (CPR). The Team Emergency Assessment Measure (TEAM) is a tool applicable to such situations. This study aimed to validate the TEAM efficiency as a suitable...

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Main Authors: Sangsoo Han, Hye Ji Park, Won Jung Jeong, Gi Woon Kim, Han Joo Choi, Hyung Jun Moon, Kyoungmi Lee, Hyuk Joong Choi, Yong Jin Park, Jin Seong Cho, Choung Ah Lee
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/18/5390
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author Sangsoo Han
Hye Ji Park
Won Jung Jeong
Gi Woon Kim
Han Joo Choi
Hyung Jun Moon
Kyoungmi Lee
Hyuk Joong Choi
Yong Jin Park
Jin Seong Cho
Choung Ah Lee
author_facet Sangsoo Han
Hye Ji Park
Won Jung Jeong
Gi Woon Kim
Han Joo Choi
Hyung Jun Moon
Kyoungmi Lee
Hyuk Joong Choi
Yong Jin Park
Jin Seong Cho
Choung Ah Lee
author_sort Sangsoo Han
collection DOAJ
description Introduction: Communication and teamwork are critical for ensuring patient safety, particularly during prehospital cardiopulmonary resuscitation (CPR). The Team Emergency Assessment Measure (TEAM) is a tool applicable to such situations. This study aimed to validate the TEAM efficiency as a suitable tool even in prehospital CPR. Methods: A multi-centric observational study was conducted using the data of all non-traumatic out-of-hospital cardiac arrest patients aged over 18 years who were treated using video communication-based medical direction in 2018. From the extracted data of 1494 eligible patients, 67 sample cases were randomly selected. Two experienced raters were assigned to each case. Each rater reviewed 13 or 14 videos and scored the TEAM items for each field cardiopulmonary resuscitation performance. The internal consistency, concurrent validity, and inter-rater reliability were measured. Results: The TEAM showed high reliability with a Cronbach’s alpha value of 0.939, with a mean interitem correlation of 0.584. The mean item–total correlation was 0.789, indicating significant associations. The mean correlation coefficient between each item and the global score range was 0.682, indicating good concurrent validity. The mean intra-class correlation coefficient was 0.804, indicating excellent agreement. Discussion: The TEAM can be a valid and reliable tool to evaluate the non-technical skills of a team of paramedics performing CPR.
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spelling doaj.art-a86e258924504200bc55955d41f99cfa2023-11-23T17:00:03ZengMDPI AGJournal of Clinical Medicine2077-03832022-09-011118539010.3390/jcm11185390Application of the Team Emergency Assessment Measure for Prehospital Cardiopulmonary ResuscitationSangsoo Han0Hye Ji Park1Won Jung Jeong2Gi Woon Kim3Han Joo Choi4Hyung Jun Moon5Kyoungmi Lee6Hyuk Joong Choi7Yong Jin Park8Jin Seong Cho9Choung Ah Lee10Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon 14584, KoreaDepartment of Emergency Medicine, Hallym University, Dongtan Sacred Heart Hospital, Hwaseong 18450, KoreaDepartment of Emergency Medicine, Catholic University of Korea, St. Vincent’s Hospital, Seoul 06591, KoreaDepartment of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon 14584, KoreaDepartment of Emergency Medicine, Dankook University Hospital, Cheonan 31116, KoreaDepartment of Emergency Medicine, College of Medicine, Soonchunhyang University, Cheonan 31151, KoreaDepartment of Emergency Medicine, Myongji Hospital, Goyang 10475, KoreaDepartment of Emergency Medicine, Hanyang University Guri Hospital, Guri 11923, KoreaDepartment of Emergency Medicine, Chosun University Hospital, Gwangju 61453, KoreaDepartment of Emergency Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon 21565, KoreaDepartment of Emergency Medicine, Hallym University, Dongtan Sacred Heart Hospital, Hwaseong 18450, KoreaIntroduction: Communication and teamwork are critical for ensuring patient safety, particularly during prehospital cardiopulmonary resuscitation (CPR). The Team Emergency Assessment Measure (TEAM) is a tool applicable to such situations. This study aimed to validate the TEAM efficiency as a suitable tool even in prehospital CPR. Methods: A multi-centric observational study was conducted using the data of all non-traumatic out-of-hospital cardiac arrest patients aged over 18 years who were treated using video communication-based medical direction in 2018. From the extracted data of 1494 eligible patients, 67 sample cases were randomly selected. Two experienced raters were assigned to each case. Each rater reviewed 13 or 14 videos and scored the TEAM items for each field cardiopulmonary resuscitation performance. The internal consistency, concurrent validity, and inter-rater reliability were measured. Results: The TEAM showed high reliability with a Cronbach’s alpha value of 0.939, with a mean interitem correlation of 0.584. The mean item–total correlation was 0.789, indicating significant associations. The mean correlation coefficient between each item and the global score range was 0.682, indicating good concurrent validity. The mean intra-class correlation coefficient was 0.804, indicating excellent agreement. Discussion: The TEAM can be a valid and reliable tool to evaluate the non-technical skills of a team of paramedics performing CPR.https://www.mdpi.com/2077-0383/11/18/5390Team Emergency Assessment Measure (TEAM)prehospital cardiopulmonary resuscitation (CPR)out-of-hospital cardiac arrest (OHCA)
spellingShingle Sangsoo Han
Hye Ji Park
Won Jung Jeong
Gi Woon Kim
Han Joo Choi
Hyung Jun Moon
Kyoungmi Lee
Hyuk Joong Choi
Yong Jin Park
Jin Seong Cho
Choung Ah Lee
Application of the Team Emergency Assessment Measure for Prehospital Cardiopulmonary Resuscitation
Journal of Clinical Medicine
Team Emergency Assessment Measure (TEAM)
prehospital cardiopulmonary resuscitation (CPR)
out-of-hospital cardiac arrest (OHCA)
title Application of the Team Emergency Assessment Measure for Prehospital Cardiopulmonary Resuscitation
title_full Application of the Team Emergency Assessment Measure for Prehospital Cardiopulmonary Resuscitation
title_fullStr Application of the Team Emergency Assessment Measure for Prehospital Cardiopulmonary Resuscitation
title_full_unstemmed Application of the Team Emergency Assessment Measure for Prehospital Cardiopulmonary Resuscitation
title_short Application of the Team Emergency Assessment Measure for Prehospital Cardiopulmonary Resuscitation
title_sort application of the team emergency assessment measure for prehospital cardiopulmonary resuscitation
topic Team Emergency Assessment Measure (TEAM)
prehospital cardiopulmonary resuscitation (CPR)
out-of-hospital cardiac arrest (OHCA)
url https://www.mdpi.com/2077-0383/11/18/5390
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